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General NPI Number Information
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NPI Number | 1265628820
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Entity Type | Individual
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Provider Name | ANNA NEDELISKY ZEMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 318 S B ST STE 5
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City | SAN MATEO
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State | CA
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Zip | 94401-4029
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Country | US
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Telephone | 917-331-1503
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Fax | 650-763-9191
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Provider Business Mailing Address
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Address Line | 2104 HALE DR
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City | BURLINGAME
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State | CA
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Zip | 94010-5514
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Country | US
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Telephone | 917-331-1503
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 017719
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 017719
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY26298
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY26298
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License Number State | CA
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